Clinical Study on Puncturing EX-HN5 (Taiyang) Towards ST4 (Dicang) and ST6 (Jiache) Treating Peripheral Facial Paralysis and Its Effect on Conduction Function of Facial Never.

Wang Bo; Tan Chun-feng; Xu Qiong; Huang Jian-fu; Wang Tian-lei

Objective: To discuss the clinical curative efficacy of puncturing EX-HN5 (Taiyang) towards ST4 (Dicang) and ST6 (Jiache) in treating peripheral facial paralysis (PFP) and its effect on facial nerve conduction function. Method: A total of 120 PFP patients were randomly divided into an acupuncture group and a penetrating needling group, with 60 cases in each group. The acupuncture group was given conventional acupuncture treatment, while the penetrating needling group was additionally treated with puncturing EX-HN5 (Taiyang) towards ST4 (Dicang) and ST6 (Jiache). The electromyogram (EMG), microcirculation, relevant integrals, House-Brackmann (H-B) facial nerve grading scale, and serum indexes were observed before and after treatment in the two groups in order to compare the changes and analyze the results. Result: The M-wave amplitudes of the frontal, orbicularis oris, quadratus labialis and orbicularis oculi muscles increased significantly and their motor latencies all decreased significantly after treatment in the two groups (P < 0.05), and comparison indicated that the penetrating needling group was markedly better than the acupuncture group (P < 0.05). After treatment, the facial nerve deficit scores, Facial Disability Index (FDI) scores and H-B facial nerve scale scores increased significantly in the two groups (P < 0.05). The facial nerve deficit scores, FDI scores and H-B scale scores in the penetrating needling group were significantly better than those in the acupuncture group (P < 0.05). After treatment, the input branch diameter, output branch diameter and the number of tube loops increased significantly in the two groups, and the flow integral decreased significantly (P < 0.05). The flow regime integral of the penetrating needling group was markedly lower than that of the acupuncture group, and the rest parameters of the penetrating needling group were markedly higher than those of the acupuncture group (P < 0.05). The ratios of H-B grade I and grade II increased significantly after treatment in both groups, and the ratios of grades III, IV and V decreased significantly in both groups (P < 0.05). The ratios of grades III, IV and V of the penetrating needling group were markedly lower than those of the acupuncture group, and the ratios of grades I and II of the penetrating needling group were markedly higher than those of the acupuncture group (P < 0.05). The contents of substance P (SP), vasoactive intestinal peptide (VIP) and calcitonin gene-related peptide (CGRP) declined significantly after treatment in the two groups (P < 0.05). Moreover, the contents of SP, VIP and CGRP of the penetrating needling group were significantly lower than those of the acupuncture group (P < 0.05). Conclusions: Treatment of puncturing EX-HN5 (Taiyang) towards ST4 (Dicang) and ST6 (Jiache) could enhance the facial nerve conduction function and microcirculation, and boost the metabolism, so as to recover the facial nerve function and improve the symptoms in PFP.

FACIAL paralysis; CALCITONIN gene-related peptide; VASOACTIVE intestinal peptide; SUBSTANCE P; FACIAL nerve; AVATARS (Virtual reality); NEURAL conduction

International Journal of Clinical Acupuncture, 2021, Vol 30, Issue 1, p1

1047-1979

Academic Journal

10.3103/S1047197921010026